VETERANS NAME ENGRAVED
ON THE
WALL OF HONOR
I
would like to have the following veterans name engraved on this
Historical Veterans Wall of Honor
(Please Print or type)
Veterans
Name___________________________
Branch
of Service____________War Era_______
Please
make your tax-deducible contribution check
$ 75.00 payable to:
Veterans
Wall of Honor / USAM
4877
E Norwich Ave
Fresno,
California 93726
559-291-1239
Army
___Navy ___Air Force ___Marines ___Coast Guard ___National Guard
___Merchant Marine, __Army Air Corp
Contract
person__________________________
Address_________________________________
City___________________Zip_______________
Phone
__________________________________
E-mail_________________________________
For
credit card donations please check one ___VISA ___Master Card
___American Express
Card
Number__________________________
Expiration
date_________________________
Signature__________________Date_
The
United States Airpower Museum is a self-supporting, privately financed,
educational organization. It is an all-volunteer, non-profit, 501-C3
tax-exempt organizations incorporated under California laws and
approved by the Internal Revenue Service for charitable and educational
purpose. ALL
DONATION ARE TAX-DEDUCIBLE
CERTIFICATION
BY APPLICANT AND/OR SPONSOR
(Please read the following before signing)
I understand that if I willfully
misrepresent or recklessly disregard any fact on this application, the
above name will not be placed on the Veterans' Wall of Honor or may be
removed if at a later date the information proves to be false. All money
paid will be forfeited.
I, ___________________________________,
hereby authorize
(Signature) United States Airpower Museum Foundation
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VETERANS WALL OF HONOR
COMPUTER DATA REGISTRY
I would like the following veterans name enrolled on the Veterans
Wall of Honor Registry. (Please Print or type)
Veterans Name_______________________________
Branch of Service _________War Era_______
Please make your tax-deducible contribution
check $ 25.00 payable to:
Veterans Wall of Honor / USAM
4877 E Norwich Ave
Fresno, California 93726
559-291-1239
Army ___Navy ___Air Force ___Marines ___Coast Guard
___National Guard ___Merchant Marine, ____Army Air Corp__
Contact person______________________________
Address_____________________________________
City_________________Zip____________________
Phone number_______________________________
E-Mail_____________________________________
___I have enclosed a photo (4 x 6 or smaller) to be
included in the registry and a one-time fee of $25.00.
Please return the picture_____
___I have enclosed 250 words or less of biographical
information (e.g., rank, decorations, where stationed, hometown story) on
a separate sheet of paper and a one-time fee of $25.00.
For credit card donations please check one
___VISA ___MasterCard ___American Express
Card Number__________________________
Expiration date_________________________
Signature______________________________
Date_____________________________________
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